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SUPERlOR MATERIALS LLC

WARNINGT IRRITATION TO THE SKIN AND EYES: Contains PortLand Cement. Wear rubber boots and gloves. PROLONGED CONTACT I!,4AY CAUSE BURNS. Avoid conlact wth eves and
pro onq ed contact w th ski n n case of contact with sk n or eyes. flush thorough ly with water. lf ilrilation persists get medical ate nt on. KE E P CH I LD R EN AWAY.
I
WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DFTRI|!,41N IAI
CONCRETE IS A PERSHABLE COMMODITY AND BECOI\,IES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF
TO CONCRETE PERFORI\,4ANCE,
ORIGINAL INSTRL]CTIONS NlUST BE TELEPHONED TO THE OFF CE BEFORE LOADING STARTS,
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FRON1 THIS LOAD OF CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF
THE COIVPLETED JOB ARE OUT OF OUR CONTROL. We do not watrani that the concrete can be used in any paftrcular environment or soLl conditions or that the concrete is llt for any
x
PLEASE NOTE THIS LOAD OF CONCRETE IS PRODUCED N ACCORDANCE WITHSTANDARD SPEC1FICATONS FOR READY MIX CONCRETE ASTM, ANY DE-ICING REQUESTOR'S NAME
IVIATER]ALS, ]I,,,IPROPER F N SHiNG AND LACK OF CURING WILL CAUSE DAN1AGE OR A DECREASE IN STRENGTH,
NOTICE: MY SIGNATURE BELOW ]NDICATES THAT I HAVE READ THE HEALTH WARN NG NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB L]NE AND AGREE TO THE TERIV]S AND CONDITIONS ON REVERSE SIDE TIME IN EXCESS OF FREE TIII,E WILL BE CHARGED AT CURRENT SA
DELAY RATE, ALL C O D, DEL]VERIES MUST BE PA]D IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY T CKET BEFORE POURING,
FULL LOAD % LOAD % %IOAD
EEOPIEIY-DAIVAGEAEIEAIEI Dear Customer - Ihe size and welght of this truck could cause damage to the premises and/or adjacent property lf this load is
placed where you desire. lt s our wish to help you in every way that we can. but rn order to do this we are requesting thal you slgn th s RELEASE relieving this supp er and its

undersgnedagreesto ndemnifyandholdharmlessthedriverofthlstruckandthissupplieranditsaffiliatesfo.anyandalldamagetothepremsesand/oradlacentproperty TEST

which may be claimed by anyone to have ar sen out of delivery of this order
Customerconfirms,agrees,andacknowledgesthattheTermsandConditionscontained nSuppiler'squotation,andrepeatedonthereversesdeofthrsdocument soey

behalf of and otheNise bind Customer to these Terms and Condiuons. CYLINDERS TAKEN: E YES fl NO

NAME OF TESTING LAB:

SIGNED: X

i"lfil-..$lt I nfiitf fil-t] I ],Ji:IR f-:i]l,ltril]FJY CUST#

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DELIVERY LOCATION

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prolonged coniact wilh skin. contact wth skin flush KEEP WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIN,lENTAL
IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF
rO CONCRETE PERFORI,4ANCE,
NSTRUCT]ONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOAD NG STARTS.
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x
REOUESTOR'S NAIV]E

NOTICEi MY S]GNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WiLL NOT BE RESPONSIBLE FOR ANY DA[IAGE CAUSED WHEN
INSIDE CURB LINE AND AGREE TO THE TERII4S AND CONDITONS ONREVERSESIDE,TIMEINEXCESSOFFREETIMEWILLBECHARGEDATCURRENT SA
ALL C O D DELLVERIES MUST BE PA]D IN ADVANCE AND LOAD ACCEPTED BY S]GN NG THIS DEL]VERY IICKET BEFORE POURING,
FULL LOAD % LOAD %LOAD %LOAD

(GALLONS) (GALLONS) (GALLONS) (GALLONS)

TEST RESULTS

Customerconfirms,agrees,andacknowledgesthattheTermsandConditionscontained nSupplleisquotation,andrepeatedonthereversesideofthisdocument,solely
governsthepartes'transaction. Customelsrepresentativeherebyacknowledgesthathe/shehas.eadthesegoverningTermsandCondiuons st llt\,1P AtRo/"
andhasauthoritytoconlrmon
behalf of and otheruise bind Customer to these Terms and Conditions. CYLINDERS TAKEN: N YES tr NO

NA[,4E OF IEST]NG LAB:

SIGNED: X

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 SUPERIOR MATERIALS LLC TICKET NUMBER
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SERVING ALL OF SOUTHEASTERN AIICHIGAN

SUPERTOR 888-988-4400
MATEB'ALS
SUPERIOR I\,IATERIALS, LLC

WARNING: IRRITATION TO THE SKIN AND EYES: Contains Podland Cement. Wear rubtEr bools and gloves. PROLONGED CONTACT l\.4AY CAUSE AURNS. Avoid @ntact with eyes and
prolonged contact with skin. ln €se of contact with skin or eyes, flush thoroughly with water. If irritation p€6ists, get medi@l attention. KEEP CHILDREN AWAY. WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIN4ENTAL
CONCRETE IS A
PERISHABLE COMNIODIry AND BECOMES THE PROPERry OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF
TO CONC RETE PERFORi\,lANCE. J
ORIGINAL INSTRUCTIONS MUST BE IELEPHONED TO THE OFFICE BEFORE LOADING STARTS. I
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF CONCRETE AS MANY IfuIPORTANT FACTORS AFFECTING THE ULTIMATE OUALITY OF 1
THE COMPLETED JOB ARE OUT OF OUR CONTROL. We do not warant that the concrete can be used in any particular environment or soil conditions or that the concrete is fit for any ,]

x I
PLEASE NOTE: THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITHSTANDARD SPECIFICATIONS FOR READY I\4IX CONCRETE ASTM, ANY DE-ICING REOUESTOR'S NAI\,IE
MATERIALS, IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH. I
NOTICE: MY SIGNATURE BELOW INDICATES THAT I HAVE READ IHE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAIUAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE IO THE TERMS AND CONDITIONS ON REVERSE SIDE. TIME IN EXCESS OF FREE TIME WLL BE CHARGED AT CURRENT SA
OELAY RAIE. ALL C.O,D. DELIVERIES MUST BE PAID IN AOVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING,
FULL LOAD % LOAD %LOAD %LOAD
PROPERTYDAMAGERELEASE: Dear Customer - The size and weight of this kuck could cause damage to thepremisesand/oradjacentpropertyiflhisloadis
placed where you desire. lt is our wish to help you in every way that we can, but in order to do this we are requesting that you sign this RELEASE relieving this supplier and its

undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier and its affiliates for any and all damage to the premises and/or adjacent propedy
which may be claimed by anyone to have arisen out of delivery of this order.
Customer confirms, agrees, and acknowledges that the Terms and Conditions contained in Supplieas quotation, and repealed on the reverse side of this document, solely
governs the parties'transaction. Customer's representative hereby acknowledges that he/she has read these governrng Terms and Conditions, and has authority to confirm on
SLUMP CONC. TEMP AIR%
behalf of and otheMise bind Customer to these Terms and Conditions. CYLINDERSTAKEN: ! YES trNO
NAME OF TESTING LAB:
SIGNED: X

CUST# DELIVERY LOCATION

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SERY/NG ALL OF SOUTHEASTERN MICHIGAN

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SUPERIOR
MATEB'ALS
888-988-4400 ffiiluifi$ufiur$tt
SUPER]OR MATERIALS LLC

WARNING; IRRITATION TO THE SKIN AND EYES: Contains Pof,and Cement. Wear .ubber boots and g oves. PROLONGED CONTACT N4AY CAUSE BURNS. Avoid contact with eyes and
proiongedcontactwlthskif lncaseofcontactwthskinoreyes,fushthoroughywithwater.lfirrilalonpercrsts getmedicalattentlon.KEEPCHlLDRENAWAY. WATERADDED AT CUSTOMER REQUEST
EXCFSSIVE WAILR IS DETRI{\NTNIA
CONCRETE S A PERISHABLE COMMOD]TY AND BECOI\4ES THE PROPERTY OF THEPURCHASERUPONLEAVINGTHEPLANT.ANYCHANGESoRCANCELLAToNoF
OR G]NAL INSTRUCTIONS I\4UST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS, TO CONCRFTF PFRFORI\4ANOF

WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROlvl THIS LOAD OF CONCRETE AS IVANY llllPORTANT FACTORS AFFECTING THE ULTTMATE OUALITY oF
THE COMPLETED JOB ARE oUT oF oUR CONTROL. We do not warranl that the concrete can be used in any padicular env rofment or soi cond tions or lhat lhe concrete ls fit for any

PLEASE NOTE: THiS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WTHSTANDARD SPECIF]CATIONS FOR READY MIX CONCRETE ASTNI, ANY DE.CNG
x
REOI.JESTOR'S NAN,lE
MATER ALS. II\4PROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGIH
NOTICE:[/YS]GNATUREBELOW NDICATESTHATIHAVEREADTHEHEALTHWARNINGNOTICEANDSUPPLIERWILLNOTBERESPONSIBLEFORANYDAMAGECAUSEDWHEN
DEL]VERING INSIDE CURB LNE AND AGREE TO THE TERMS AND CONDITIONS ONREVERSESIDE,TIMEINEXCESSOFFREETIMEWILLBECHARGEDATCURRENT
DELAY RATE. ALL C O D DEL VER]ES MUST BE PA]D IN ADVANCE AND LOAD ACCEPTED BY SIGN]NG THIS DELIVERY IICKET BEFORE POUR NG,
FULL LOAD % LOAD ./.LOAD .I LOAD
PROPERTYDAMAGE RELEASET Dear Cuslomer - The size and weght of this truck could cause damage to thepremsesand/oradjacentproperty fthisload s
placed where you desire. lt s our wish to he p you ln every way that we can. but n order to do this we are requesUng that you srgn th s RELEASE re eving thls supp er and its

undersigned agrees to indemnify and ho d harmless lhe drlve. of this truck and this supplier and its affiliates for any anci all damage to the premlses and/or adlacent property TEST
wh ch may be cla med by anyone lo have ar sen out of delivery of this order.
Customerconfirms.agrees andacknowedgesthattheTermsandCondiUonscontaned nSupplier'squotation,andrepeatedonthereversestdeofthisdocument,solely
governs the partles transaction. Customeis representative hereby acknowledges lhat he/she has read these governing Terms and Cond tions, and has author ty to confirm on CONC TEMP
behalf of and othetuise bind Customer to these Terms afd Cond tions. CYLINDERS TAKEN: ! YES tr NO

NAME OF TESTING LAB:

SIGNED: X

t if.-11- B F: I i],3H rqi,fl I ItIGfI l! Cfi plFrlhlY CUST#

illlrlii]'}(.:.1 DELIVERY LOCATION

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 SUPERIOR MATERIALS LLC TICKET NUMBER
,'t.# $.* :dl
SERY/NG ALL OF SOUIHEASIERN AIICH IGAN -#

SUPERIOR
MATERIAI.S
888-988-4400 \
illtlffi{[ifix
SUPERIOR MATERIALS, LLC

WARNING: IRRITATION TO THE SKIN AND EYES: Contains Podland Cement. Wear rubber boots and gloves. PROLONGED CONTACT l\lAY CAUSE BURNS. Avoid contact with eves and
prolonged contact wilh skin. ln case of contact with skin or eyes, flush thoroughly wth water. lf irritation persists, ge1 m€dical attention. KEEP CHILDREN AWAY. WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIMENTAL
CONCRETE IS A PERISHABLE COIUIMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF rO CONCRETE PERFORtvIANCE.
ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO IHE OFFICE BEFORE LOADING STARTS-
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROIVI THIS LOAD OF CONCRETE AS N,,IANY IIUPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF
THE COMPLETED JOB ARE OUT OF OUR CONTROL. We do not warant lhal the concrete can be used in any parlicular environment or soil conditions or that the concrete is fll for any
x
PLEASE NOTE: THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITHSTANDARD SPECIFICATIONS FOR READY [/IX CONCRETE ASTM, ANY DE]CING REOUESTOR'S NAME
IMATERIALS, IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAI\4AGE OR A DECREASE IN STRENGTH,
NOTIGE: SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
N4Y
DELIVERING INSIDE CURB LINE AND AGREE TO THE IERMS AND CONOITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TII\4E WILL BE CHARGED AT CURRENT SA
DELAY RATE, ALL C,O,D, DELIVERIES I\IUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING.
FULL LOAD %LOAD '/z LOAD % IOAD
PROPERTY DAMAGE RELEASE : Dear Customer - The size and weight of this truck could cause damage to the premises and/or adjacent property if this load is
phGa whre you desrelt isAru,,bh to help you in every way that we can, but in order to do this we are requestin! that you sign this RELEASErelieving this supplier and its

undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier and its affiliates tor any and all damage to the premises and/or adjacent property
which may be claimed by anyone to have arisen out of delivery oJ this order.
Customer confirms, agrees, and acknowledges that the Terms and Conditions contained in Supplier,s quotation, and repeated on the reverse side of this document, solely
governs the parties'transaction. Customer's representative hereby acknowledges that he/she has read these governing Terms and Conditions, and has authority to confirm on SLUMP TE[,4P,
behalf of and otheruise bind Customer to these Terms and Conditions. CYLINDERSTAKEN: IYES trNO
NAME OF TESTING LAB;
SIGNED: X

Hftl-nF? I DGE 6]r.._D I N$Ett t:nr{i.}fthrf CUST#

1ABE,3A.: DELIVERY LOCATION

PROJ#
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LOADOUANTITY ORDEREDQTY CUMULATIVEQTY PRODUCTID DESCRIPTION UNIT PRICE EXTENDED PRICE

tr ALL MATERIALS CERTIFIED MEETING MDOT'S SPECIFICATIONS

BATCH TII!1E LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL

[,:5{:
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flctuai ll/C Friibr 6,439 0ctual $*terr P9e SI ' Satctied f,etenfr S50 ! b Allorablri l{af er: 95 lb
 ii P LLC TICKET NUMBER

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ili*.r.. , ,r+4t rE,eB-t?'e
O F SO UT HEASIERN AI I C H I G AN

SUPERIOR 888-988- 4400 iiii.ril

MATER'AI.S
SUPERIOR MAIERIALS. LLC
[|illlrIlJ[lil
WARNING: TO AND EYESi and CONTACT NIAY CAUSE BURNS, and
p'olonged wlth skin. ln skin get medical atention, KEEP CHILDREN WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIMENTAL
CONCRETE S A PER]SHABLE COI\,4MOD]IY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF .TO
CONCRETE PERFORIVIANCE,
ORIGINAL INSTRUCTIONS IVUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS,
WE DO NOT GUARANTEE FIN SHED RESULTS OBTAINED FRO]\,l THIS LOAD OF CONCRETE AS IVANY II\IPORTANT FACTORS AFFECTING THE ULTIMATE OUALITY OF
THECOIVIPLETEDJOBAREOUTOFOURCONTROL Wedonotwatrantthatthecofcretecanbeused nanypadicularenvronmentorsolconditionsorthattheconcreteisfitlorany
x
PLEASE NOTE: THIS LOAD OF CONCRETE lS PRODUCED LN ACCORDANCE WITH STANDARD SPEC FICATIONS FOR READY l\,11X CONCRETE ASTIV. ANY DE- CING REQUESTOR'S NAME
MATER ALS. I4PROPER FINISH]NG AND LACK OF CURING WILL CAUSE DAI\IAGE OR A DECREASE N STRENGTH.
NOTICE:MYSIGNATUREBELOW NDICATESTHATIHAVEREADTHEHEALTHWARNINGNOTICEANDSUPPLIERWILLNOTBERESPONSIBLEFORANYDAMAGECAUSEDWHEN
DEL]VERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT SA
DELAY RATE, ALL C,O,D DELIVERIES MUST BE PA{D IN ADVANCE AND LOAD ACCEPTED BY S]GN NG THIS DEL VERY TICKET BEFORE POURING, ,/4
FULL LOAD %LOAD %LOAD
PSOeEBIY_qAIVIAGE-AEIEASE Dear Customer - The size and weight of ths truck could cause damage to thepremisesand/orad.lacentpropertyiflhsloadis
placed where you desire. lt is our wish to help you n every way that we can, but in o.der to do thrs we are requesting that you sign this RELEASE relievlng th s supplier and ts

undersigned agrees to indemnify afd hold harmless the driver of this truck and thls suppller and its affillates for any and all damage to the premises and/or adjacent property TEST RESULTS
wh ch may be c a med by anyone to have arisen out of de very of this order.
Customerconfirms agrees andacknowedgesthattheTermsandConditonscontanedinSupplier'squotation,andrepeatedonthereversesideofthisdocumenl,solely SLU [,4P CONC, TEIVP,
governs the pad es transaction. Customer s representative hereby acknowledges that he/she has read these governing Terms and Cond tions, and has authority to conflrm on
behalf of and otherw se bind Custome. to these Terms and Conditions. CYLINDERSTAKEN: ! YES trNO
NAME OF TEST NG LAB;
SIGNED: X

DELIVERY LOCAT]ON
H(iL,Bf?in,:H r:tLpIhifiHiit il*MpfiNY CUST#
i, t:iji.jlr,,ji. {i ,::

PROJ#
fi0f?tiIl: liiltiE Ir.,i"T. nftIi]riH F,fi,I['JT {'l-:
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JOB ]D #
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LOAD QUANTITY ORDERED QTY CUIVULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE

1 fi" uifi \,r) t 'I,fi L fi;ii: YSi_. i. I'Sfr "ii 4l*19'i;* 11q1 g;P+f:Blt
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fi=#' -l 1
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1
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DiEp Ticket illur lii 'Iiru

Iruck Srivrr U:r1i' Tiuket lat
;$!? ?t&i$
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flj:El{r 4ffi tb 4T& IL 4PS-E b i
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Lard Totai: 4SISI lh 0ssitn 0.cSJ i{atrrlferffit S,t4B t Desirn 3S6,0 ui flttu;l 394.6 ql Tu AdrJ: t l.4 9l
Siuro: I"{flr in ilater itr TFurhl $.0 ql fiil.iutt 'tlater 0.S q 1i Loail Tri: 0rtin: - 1.S tl,j llYl
Art.rai ii./C liatia:8,{31 fictuai liitrr: 395 l1 k[r.'h".d CqsenI : E?il lb Alilrat,Ie i,J.rf*r; lEe lb
 SUPERIOR MATERIALS LLC TICKET NUMBER
is
,l$ffi,f;X8E
SERY/NG ALL OF SOUIHEASTERN AII CH IGAN

SUPERIOR 888-988-4400 lt
MATEF'ALS
SUPERIOR I\IATERIALS, LLC

WARNINGi IRRITATION TO THE SKIN AND EYES: Contains Pofrland Cement. Wear rubber boots and gloves. PROLONGED CONTACT l\,4AY CAUSE BURNS. Avoid contact with eyes and
prolonged mntact with skin. ln cse of contact wilh skin or eyes, flush thoroughly wilh water. lf kriEtion persists, get medi@l attention. KEEP CHILDREN AWAY. WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIMENTAL
CONCRETE IS A
PERISHABLE COMMODITY AND BECOI\,,IES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF
TO CONCRETE PERFORMANCE,
ORIGINAL INSTRUCTIONS MUST BE IELEPHONED TO THE OFFICE BEFORE LOADING STARTS.
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF CONCRETE AS MANY II\4PORTANT FACTORS AFFECTING THE ULTIMATE OUALITY OF
THE COMPLETED JOB ARE OUT OF OUR CONTROL. We do not warmnt that the concrele @n be used in any padicular environment or soil conditions or that the concrete is fit for any
x
PLEASE NOTE: THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH STANDARD SPECIFICATIONS FOR READY I\,IIX CONCRETE ASTM, ANY OE.ICING REQUESTOR S NAME
I\4ATERIALS, IIVPROPER FINISHING AND LACK OF CURING WILL CAUSE DAI\4AGE OR A DECREASE IN STRENGTH,
NOTICE: N4Y SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT 8E RESPONSIBLE FOR ANY DAIVAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERIIIS AND CONDITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT SA
DELAY RATE, ALL C.O,D. DELIVERIES I!1UST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING.
FULL LOAD %LOAD %LOAD % LOAD
PROPERTYDAMAGERELEASE: - The size and weight of this truck could cause damage to thepremisesand/oradjacentpropertyifthisloadis
Dear Customer
placed where you desire. lt is our wish to help you in every way that we can, but in order to do this we are requesting that you sjgn lhls RELEASE relieving this supp ier and its
(GALLONS) (GALLONS) (GALLONS) (GALLONS)

undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier and its afflliates for any and all damage to the premises and/or adjacent property TEST RESULTS
which may be claimed by anyone to have arisen out of delivery of this order.
Customer confirms, agrees, and acknowledges that the Terms and Conditions contained in Supplier's quotation, and repeated on the reverse side of this document, solely
governs the parties'transaction. Customer's representative hereby acknowledges that he/she has read these governing Terms and Conditions, and has authority to confirm on SLUMP CONC, TE|\itP AIR%
behaif oi and otheMise bind Customer to these Terms and Conditions. CYLINDERS TAKEN: ! YES tr NO
NAIvlE OF TESTING LAB:
SIGNED: X

dril.nPI nGI ftl"il I i{6Elt l-'ilf4F'ftf\l CUST#

1auifi136 DELIVERY LOCATION

PROJ# L,firi01[ l-{UtJ[j .thl]"" []RIii6H ptilNlT {11:

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JOB ID #

LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE

.l
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tr ALL IVATERIALS CERTIFIED IUEETING TVDOT'S SPECIFICATIONS

BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL
? " .--:! {

TOTAL WAIT TIIvIE PREVIOUS TRUCK LOAD # SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX
E:6 --t ',;t
-.r
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DATE ORDER # PLANT TRUCK # DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL

./t 3fr0$ L:ttanl'it[H f,1.1 fillrtfi

DRUM REV - AT PLANT DRUM REV. START DRUM REV - FINISH

t'lCHf:iltlfr1 pri"i'
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iees 7tB5t9 ili er ef$rge s5s73 i !cl bi rts, Lx
Load Siz* t4tr,; SOde ftpt urned 0t,l Sge
itlie Seq Load In
ftlaterial Besiqn ill't R*nur i 'ed Brtr:hed i Var f Hsi;ti.,'e ktual llat
crsEir 4e3 rb 4e3s th 1-",;15 ib + p.8t1
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tr.JLffiA 17& lb I I3',lB ib l?es$ lb -fi.501 S.Sr H lCu
l,lfiTER 30.6 ul rs.5 gl 189.9 ol -0. egf 189.9 d
XIHIl +5.1I 6z {$t.r0 OI 456"ffi 6r t. ffi$ r.s3 d
xt,slr 5,6i oe 5t.{0 0; *4.ffi sz - -+. e6r .:i, 0
(L'Hi I$. {$ s: 3S{.8$ 0z 195.0S st c. f,5{ ir. r'c I
hitt$tf i'? .{tt *.0 gl .o tl
futual Nun firtsier: I
fluto ?:8lrt$ tanual ?:f !rt*S 55{.3 tb
Load Tst,ri: 4S3:7 lb [}erior, 8.453 llat*iCsrent 0,4dS T Desio:i 3S-0 q! ilct iil To : l&9 ol
iium: ?"ilft in lkter rrr Tiuck: 6.5 ol Adiu:t'" llater: 0,0 ol / Loafi Trrr Srirr r -1,I gl ''
f":tuit Ltrc Eatis: 0, s89 flcirral liater: tti ol ,latr,\rd [*ren [: 5735 lb Allor tei
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 SUPERIOR MATERIALS LLC TICKET NUMBER
.'S #i'
t*trd* {, frfiffi'r*;i:B$ .,.;i rr'
SERY/NG ALL OF SOUIHEASIERN A/IICHIGAN

SUPEBIOR 888-988-4400 iltltti[lffilfiillllil

MATER'ALS
SUPERIOR I\,4ATERIALS, LLC

WARNING: IRRITATION TO THE SKIN AND EYES| Contains Portland Cement Wear rubber boots and gloves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid @nhd with eyes and
prolonged conlact with skin. ln €se of contact with skin or eyes, flush thoroughly with water. li iritation persists, get medical aftention. KEEP CHILDREN AWAY. WATER ADDED AT CUSTOMER REOUEST
EXCESSIVE WATER ]S DETRII\,4ENTAL
CONCRETE IS A PERISHABLE COMI,4ODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF
TO CONCRETE P E RFORI\IANCE,
ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS.
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTII/ATE QUALITY OF
THE COMPLETED JOB ARE OUT OF OUR CONTROL. We do not warant thal lhe @ncrete can be used in any panicular environment or soil condilions or lhal lhe concrete is fit for any
padicular use. Selection of the mix design and/or specifcation of the mix design parameter are solely the @sponsibiUty of the Customer, and we assume no liability therefore.
x
PLEASE NOTE: THIS LOAD OF CONCRETE lS PRODUCEo lN ACCORDANCE WITHSTANDARD SPECIFICATIONS FOR READY MIX CONCRETE AST[.4. ANY DE-ICING REOUESTOR'S NAN4E
]\,4ATERIALS, II\4PROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICE: [4Y SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONOITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT SA
DELAY RATE, ALL C,O,D. DELIVERIES I\4UST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING, ./. LOAD
FULL LOAD %LOAD %LOAD
PROPERTYDAMAGERELEASE: Dear Customer-The size and weight ofthis truck could cause damage to thepremisesand/oradjacentpropertyifthisloadis
placed where you desire. lt is our wish to help you ln every way that we can, but in order to do th s we are requesting that you sign this RELEASE relieving lhis supplier and its

undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier and its affiliates for any and all damage to the premises and/or adjacent property
which may be claimed by anyone to have arisen out of delivery of this order.
Custometconfirms agrees,andacknowledgesthattheTermsandConditionscontainedinSupplieasquotation,andrepeatedonthereversesideofthisdocument,solely
SLUI\4P TEl\,4P
governs the parties' transactron. Customer's representative hereby acknbwledges that he/she
ha_s read these governing Terms and Conditions, and has authority to confirm on
behalf of and otheruise bind Customer to these Terms and Conditions. CYLINDERSTAKEN: !YES trNO
NAME OF TESTING LAB
SIGNED: X

id&LBriIl)l.]E rtl-LINGHn {:CIt{t}fltlY CUST#

lFi/rPr?&,? DELIVERY LOCATION

l".till"Jfi ]"NT. FJFTII]SE ]:,{f 1i{T fiF

ti$RnI[I Iil"]t"tfi ". INT'. fittI${:]fi t}ff II',1'1'
PROJ#
l rlr:lS':i7!:; 'jiffritlII
Ei'iTR'i \
P.O. #
i Ilri[iT t]0Rn1fr ]-i$L.,tE/ :TEFITHR$rir.t fir,,fifi'r" F,fisr st
JOB ID #

LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE

1 ft U'il \'fr .t ;i:t}" J *rn YtlL I l SE:3 r{flr:}{fi IhlT $L,ll.ht:nFl

t i3[A ]. h l, ,BUr L'F"Hr-t3its;ii Ii{*,'C"," T'JF'$TfrftI.iD *F lY!
I
I fitt3 u;e I {:r l?r
UI.i;IVfrfi;: SLIPEFi Iil-rq$IT t I I ?[R
J. lrfllfl (j el rft E{i:t,J!,,il firul.r I nfiilMr*H'Ifll- FfiH []r-::
I i3fi ffa I-71 EFUIL1 Fl.iEt. :tLlIlcl'tGF:uE

tr ALL TVATERIALS CERTIFIED MEETING MDOT'S SPECIFICATIONS

BATCH TIIVE LEAVE PLANT T,ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVF AT PLANT USAGE CODE SUB TOTAL

TOTAL WAIT TIME

E-'H

PREVIOUS TRUCK
ti dfj LOAD # SLUI\,1P MAP PAGE TIME DUE ON JOB TAX RATE TAX
*.r
:iefif;l fr ', f,: ?-.-:i,si:t'5/l ErL&
DATE ORDER # PLANT TRUCK # DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL

lAE.,/ 16,,'fiE .t
fir? t: ?':}r1*1I Ftfir..-TilN. Jitlsl-l
DRUI\,4 REV - AT PLANT DRUI\,4 REV - START DRUI\,4 REV - FINISH

ldcHL:hthtil, priT
l lillll lltil lll] tilll
.1
ilil illil ililililil ililI lill ll]
1 563591 B"
Et' [iso Tieket ]tur Tirket ID 'fire
tirSr EE9T2OB $507.} 7:55
Load Srr ilix fiet{r'rsd 0ty i4ix ffge $eo Lstsd ID

l{attrial B*riun tltrr Sequi ruJ B*trted ti U*r !l l{aisiure fietual llat
rucf,il 4ei r[ {em t 4A!S tb 1.5+f
Ct"ELM 1{l ls I$0 b tits Ih- 0.otrr
flrc$sfl lssa th t$4s U t57S$ th "CI"
*0"sffi
tfif t &: aa
oi
flx-fisn lidt lE i ji+h h t?a6s lb 0" 50* 14 t0 a't
UOTEfi 30.6 Ei 193.3 ol 194" 7 ol 0.7t* i94. ? ;1
i(LUtL {5, te E] 45t.e0 6r 456.ffi iz' 1, $6S a,03 $l
TIfrlT 5.64 OT 56.48 &z Str.ffl ur -+. dbl ,Jb Il
rls{el 39..{8 0g 394. 80 oi 39.1.10 nr -$. *0* 0. r,i: it
14!II{ATT .CI * .s sl ,$ ql
0ctual t{ur Satchrsr I &rto TrSc?? lrhnu*l ?:58:17 Ha;r fiispable lleter: l,SlE.l l[
i.oad Total: {SJ46 lh Desiqn 0.45} lhter/Cerent S.448 T fletrqrr 386.ff gl fotrlai Pg7.l gl Ta Bdtl: 8.9 i
lilurs: 7.r,1O in I'later ir, Iiuck: 0,0 nl ildiugt ilatpr: S.8 ol .iLaad Trir Sater: -1.0 r;i/ iY[
firtubl HIC Ratio; 0"{38 AEiual llatr;": P9? Ci Datched Cereni: Ei+5 th Ailorahle }laferr 163 lb
 SUPERIOR MATERIALS LLC TICKET NUMBER

'ii *, .]i il:fi$efifr,&l .'ii rr;

SERY/NG ALL OF SOUTHEASIERN AIICHIGAN

SUPERIOR
MATEE'AI.S
888-988-4400 riltliltll|l[rilurJlr
SUPERIOR MATERIALS. LLC

WARNING: IRRITATION TO THE SKIN AND EYES: Contains Poftland Cement. Wear rubber b@ts and gloves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid @nlact with eyes and
prolonged mntacl with skin. ln @se of contact with skin or eyes, flush thoroughly with water. lf ifritation persists, get medi€l attontion. KEEP CHILDREN AWAY. WATERADDED AT CUSTOMER REOUEST
EXCESSIVE WATER IS DETRIMENTAT
CONCRETE IS A PERISHABLE COI\,4MOD]TY AND BECOI\,4ES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF
TO CONCRETE PERFORMANCE,
ORIGINAL INSTRUCTIONS IVUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS,
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROI\,,! THIS LOAD OF CONCRETE AS I\,IANY II\,,IPORTANT FACTORS AFFECTING THE ULTIMATE OUALITY OF
THE COI\IPLETED JOB ARE OUT OF OUR CONTROL. We do not watrant that the concrete can be used in any panicular environment or soil conditions or that the concrete is fll for any
x
PLEASE NOTE; THIS LOAD OF CONCRETE lS PRODUCED INACCORDANCE WITHSTANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTlVl. ANY DE-|C|NG REQUESTOR'S NANIE
IUATERIALS, IIVPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICE: NIY SIGNATURE BELOW INDICATES THAT ] HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER W]LL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT SA
DELAY RATE. ALL C.O.D. OELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING,
FULL LOAD %IOAD %LOAO %LOAD
PROPERTY DAMAGE RELEASE: Dear Customer - The sze and weight of this lruck could cause damage to the premises and/or adjacent property f this load is
placed where you desire. lt is our wish to help you in every way that we can, but in order to do this we are requesting that you sign this RELEASE relieving this supplier and its
(GALLONS) (GALLONS) (GALLONS) (GALLONS)

undersigned agrees to indemnify and hold harmless the driver of this truck and this supplier and its affiliates for any and all damage to the premises and/or adjacent propedy TEST RESULTS
wh ch may be claimed oy aryone to l^ave alsel oJt of delivery d'this o'der.
Customer confirms, agrees, and acknowledges that the Terms and Conditions contained in Suppliels quotation, and repeated on the reverse side of this document, solely
governs the parlies'transaction. Customer's representative hereby acknowledges that he/she has read these governing Terms and Conditions, and has authority to confirm on
SLUI\,4P CONC, TE[,4P, AIR%
behalf of and otheMise bind Customer to these Terms and Conditions. CYLINDERS TAKEN: ! YES tr NO

NAfr,4E OF TESTING LAB:

SIGNED: X

ldfq|'8F i DfiE r:lt._ri I htEHFr iHFilN'i CUST#

t Errlr.]?ii3
DELIVERY LOCATION

PROJ# CilRDItr l,'t$hlf: I!\.l1 " BEIfI$!: F,CIINT ilfj

{iOEI}IH I{fi[.I[ INT. i?RII}I}E POITdT { BFTITE'tE!
J. k:rr'-..r..J ., ,.J S}JTRY
PO. #
{ ttl I'{nnT' mBllll.,ilEi Flnt,i[:.r JEF:FHHI}*N ftSHF1T i-:'i]f,tr 'fiT/
JOB ID #

LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE

t:l ti)tfi 'r'l] 1.;*fi, .t.

c;!lil YSL_r lSE"I r+*t2ltl' I Fj'f" SLE i'[:[tFl
I klfJ l tl I 9ur trl:t"ts}ft3 *"*.rC"i' TUF$TRfiNS SF lYl
I ilr
SCI t rlE uFlilYrn[4{: Sl-itrFjfi tli-A$l'If;I If R
I t}fi trcl u EHiiIUg EhIU I ROHI4EhITfiL FEE T]E
t ffU *ir .a
[f:L,H:1",. t FrlJli[. $uH*],l,1FiffiE

tr ALL TVIATERIALS CERTIFIED TVIEETING MDOT'S SPECIFICATIONS

BATCH Tll\ilE LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL

TOTAL WAIT TII\,4E PREVIOUS TRUCK LOAD # SLUMP l\ilAP PAGE TIIVE DUE ON JOB TAX RATE TAX

;ti:tl? ? -7
1{i3..'f,:i*84 .t

DATE ORDER # PLANT TRUCK # DELIVERY PROFESSIONAL OROER GRAND TOTAL TOTAL
*
I tafilr: r:-- !:J *l l,I It. L IfiH$ Sr:nf"f
DRUIM REV - AT PLANT DRUIV REV - START DRUIV] REV. FINISH

M[;HHflhtr:t- Fr-'tl
I llil] lilt iltil ililt ilffi iltil ltil fiil] llilillil ilil
"1 1 5635923-
Irur User SiEo firket !&rs Iicke tID Ti rs
nffi urSr 26Sem6 .s5&$1 D .'t'?

Load 3i IP Ili r f,rde RBturnd fitt, ,{ix Sge 9e'i Load lt1

tlatrrial lleEian 0tv Recuiroc SatchEd t' Uar * Hoirture ilctual llat
fifitltl {ar i6 4eIs lb 4478 ltr O qq+l
ItEL06 141 ib t41S tb It4b lb i I"4s:(
E
ffiism r5CIg lb l5BE3 tb tBqffi lb -s-33* t{ 99 u
ii1$-sBl r?tfi lh 17346 lb l?ts8 lh -a" 3sr 8. 50x !l l0 Iq
I,,]TER $.& ql t79.9 qi 17!.7 ul -0.681t iI
xi$t!t 45.I0 si 451.f,S or {56.Se ile l.E6'r 3. {!3 s
XUDIE 5,64 rr 4{i o:
-5S- S4"ffi oz - "4,96$ .36 g
Ii.Het 39.{8 Ez 39{.S oi 395. il$ s: $.ffii( r.6€ a
!fi)tt,ATe .&,( $ ,e gl .& gl
&ctual llus Bat::tres: t
Auto 8:*?ll9 Harual SltT:3$ llar flllsrahle l,$.?6.8, lb
l.*ad Tttalr lb +&35tDrrion 0,{S3 }jater/[ereni t.{47 T Detiun 3S6.8 qi ktuatr ffi.5 gl To Add: 18"5 ql
",later:
Slurrrr 7.ffi in l{ater' in lFuclt: S.0 ql ffdiust 'tiatr: 6.fi ql / Loail Trir [lat*rr -1.8 ul/ S]D
tutuil fi/C tatio: 8,43i ktual Hater: 398 Ul
- E*trhed Ceren{: 5?t5 lb f,linwable [,lafer: lei tb